| Regimental number | 4196 |
| Place of birth | Ararat, Victoria |
| Religion | Church of England |
| Occupation | Contractor |
| Address | 62 Phillip Street, Enmore, New South Wales |
| Marital status | Married |
| Age at embarkation | 39 |
| Next of kin | Wife, Mrs Lily Balmer, Enmore, New South Wales |
| Enlistment date | 28 August 1917 |
| Date of enlistment from Nominal Roll | 29 August 1917 |
| Rank on enlistment | Private |
| Unit name | 14th Light Horse Regiment, 34th Reinforcement |
| AWM Embarkation Roll number | 10/19/2 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board HMAT A38 Ulysses on 19 December 1917 |
| Rank from Nominal Roll | Private |
| Unit from Nominal Roll | Australian Motor Transport Section |
| Fate | Returned to Australia 10 July 1919 |
